High Prescription Costs Force Patients To Quit Treatment

Not even the most effective medication will achieve the desired results if its high cost prevents patients from taking it. Nearly all physicians (96%) report that patients stopped taking a medication because of cost without telling them, the 2026 Physician Drug Cost survey from RazorMetrics found. Almost the same percentage said they would be comfortable ...

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CMS Eases Path For Medicare Advantage Takeovers

The Centers for Medicare and Medicaid Services is making it easier for Medicare Advantage insurers to swoop in and rescue struggling rivals. The agency last week notified insurance companies that it may allow them to expand where they sell policies midyear if they acquire competitors. Previously, CMS only considered expansion requests during the annual bid ...

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Fitness Expert Reveals 6 Things People Over 35 Should Do After Workouts To Stay Strong

The most important part of a workout may happen after it ends. As adults age, muscles can become less responsive to protein and other muscle-building signals, making post-exercise recovery critical for repairing tissue and preserving strength. Jacob Zemer, a New York-based fitness coach, focuses heavily on recovery with his clients, who primarily range from 35 ...

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Outcome of Suit Against Department of Labor Could Boost Skimpy Employer Health Plans

A long-running lawsuit challenging what it means to be an employee and therefore have access to work-based health plans is being closely watched. Its outcome could spur the availability of lower-cost but potentially skimpier health coverage that skirts some consumer protections.

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SCAN Health Plan, Walmart Partner On Medicare Advantage Plans

SCAN Health Plan is partnering with retail giant Walmart to launch a co-branded Medicare Advantage plan in two states, the companies announced Wednesday. SCAN and Walmart will connect co-branded Medicare Advantage offerings “more closely” with Walmart’s health and wellness products and services and its technology capabilities. Pending regulatory review and approvals, the companies say offerings ...

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Nevada Medicaid Begins Outreach Effort Over Work Requirements

The Nevada Health Authority announced it has started mailing notices to affected enrollees regarding eligibility changes and will follow up with text messages and emails throughout the month of September.

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CVS Health’s Aetna To Streamline Cancer Treatment Approvals

CVS Health’s (CVS.N), opens new tab Aetna health insurance unit will cut back next year on the preapprovals it requires for treatment for cancer patients to only ​one medical prior authorization process early on, the company said on Thursday. Providers ‌will get the insurer’s go-ahead for care by submitting documentation showing a patient is receiving ...

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Surgeon General Nominee Won’t Renounce RFK Jr. Vaccine Decisions

Surgeon general nominee Nicole Saphier, seeking to be confirmed as the nation’s top health educator and spokesperson, on Wednesday declined to fully distance herself from the Trump administration’s changes to the childhood vaccine schedule when pressed by a prominent Republican. During a hearing of the Senate Health, Education, Labor and Pensions Committee, outgoing Chairman Bill Cassidy, R-La., ...

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Health Net Group Market Exit: Broker & Member FAQs

Health Net has released FAQs to help brokers and members navigate its exit from the California Small Group and Large Group medical markets. These resources provide information directly from Health Net regarding the transition, including important details and guidance for affected groups. View Health Net Broker FAQs View Health Net Member FAQs We encourage brokers ...

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UnitedHealth Aims To Shine ‘Sunlight’ On No Surprises Act Problems

Executives from UnitedHealth Group spoke Thursday in Boston at a conference for health care investors, and frustration with the No Surprises Act independent dispute resolution system was the hot group health topic. Wayne DeVeydt, UnitedHealth’s chief financial officer, spent a lot of time talking about Medicare plans and state Medicaid plans. He then talked briefly about the costs ...

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